| NW 88326
' Docld:32239460 Page 1

Assassination Records Review Board
Final Determination Notification

AGENCY : HSCA
RECORD NUMBER : 180-10060-10452
RECORD SERIES : STAFF PAYROLL RECORDS
AGENCY FILE NUMBER :

December 8, 1995
Status of Document: Postponed in Part

Number of releases of previously postponed information: 12

Reason for Board Action: The Review Board's decision was premised on several factors
including: (a) the significant historical interest in the document in question; (b) the
absence of evidence that the release of the information would cause harm to the United
States or to any individual.

Number of Postponements: 10

Postponements: All the postponements in this document represent Social Security numbers.

Reason for Board Action: The text is redacted because the public disclosure of the redaction could
reasonably be expected to constitute-an unwarranted invasion of personal privacy, and that invasion of
privacy would be so substantial that it outweighs the public interest.

Substitute Language: SSN

Date of Next Review: 2017

Board Review Completed: 10/24/95


Se ee

Date:08/20/93
a Page:1
JFK ASSASSINATION SYSTEM

IDENTIFICATION FORM

AGENCY INFORMATION

AGENCY

, HSCA
RECORD NUMBER

180-10060-10452

RECORDS SERIES ;
STAFF PAYROLL RECORDS

ORIGINATOR ;:
FROM :
TO 3;

TITLE :

DATE
PAGES

01/01/77
11

SUBJECTS :
HSCA, ADMINISTRATION
JOHNSON, GENE _

DOCUMENT TYPE PRINTED FORM

CLASSIFICATION : U
RESTRICTIONS : 3
CURRENT STATUS : P

DATE OF LAST REVIEW : 06/04/93

OPENING CRITERIA

COMMENTS

Box. 2.

‘NW 88326
Dechd:37299460 Page 2

PAYROLL AUTHORIZATION FORM o

(Please Use Typewriter ° ©) U.S. HOUSE“OF REPRESENTATIVES} (Any erasures, corrections, or changes

or Ballpoint Pen) authorizing official.)

To the Clerk of the House of Representatives :

| hereby authorize the following payroll action:

Employee Name (First-Middle-Last) Effective Date

Gane BR. Johnson . 12/31/78

Employee Social Security Number Type of Action
374-406-1135
Employing Office or Committee/Subcommittee

O Appointment

O) Salary Adjustment

C) Title Change

LT Termination (At close of business on effective date}

As¢gasginations

close of business... = == 5 )
Specify Date :

(If type of action is an Appointment, Salary Adjustment, or Title Change, complete appropriate information below.)

Position Title Gross Annual Salary *

* If emoloyee is a civil service annuitant (includes U.S. House of Representatives), the gross annual salary shown should include the annuity received by the employee
plus the salary received from the employing office.

{If Committee Employee, complete appropriate item below.)
i. O Standing Committee: Staff—Ci Clerical or 1 Professional.

2, ED Special (Investigative staff of Standing Committee) or Select Committee: Authority—H. Resi36 __of'3£2_Congress.
3. 0 Joint Committee.

(If Employee of an Officer of the House, complete item below.)

Position Number If applicable, Level

relatives.
January 2 79
Dote. *S™" ? wee nt re ee
‘ . (Signature of Authorizing Official)
LOOIS STOGRES
(If appropriate, signature of Subcommittee Chairman or Ranking Minority Member) ee Type or print name of Authorizing Oficial) ~=—SSStC*~C~S
CHAT RMAN

All appointments and salary adjustments for employees under the House Classification Act and: for Committee em-
ployees, except those of the Committee on Appropriations, the Committee on the Budget, and the Joint. Committees, must -
” be approved by the Committee on House Administration.

APPROVED: ._-

Chairman, Committee on House Administration

Office of Finance use only:

Office Code : - Ranafite |

— ss <Copy-for. Initiating Office or Committee - ne

Washington, D.C. 20515 a on this form must be initialed by the ©

, sot slog Lo . 1 Tk . . a
ete Te Mitel Data nt el eet ok mei mtn dinnnenae ae heeechnmatertine en cthecablatilt Rn Kale a Me baht Lab Ais

U) Leave without pay (Beginning with effective date above and ending | -

| certify that this authorization is not in violation. of 5 U.S.C. 3110(b), prohibiting the employment of .

tet te tet re! “,
AS ee ah eat aed atte dete de tie i ae Sia tee

|

NW 88326 ee —

| Docid:32239460 Page 3 5 vo:

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PAYROLL AUTHORIZATION FORM

- (Please Use Typewriter: .-:-. ‘Uz S. HOUSE OF REPRESENTATIVES . (Any erasures, corrections, or changes ~

7 Ds an on this form must. be: initialed by the
or Ballpoint Pen) 7 Washington, D.C. 20515 authorizing official.)

To the Clerk of the House of Representatives:

| hereby authorize the following payroll action:

Employee Name (Fitst-Middle-Last) SC | _— Effective Date 7

Gene R. Johnson . Mareh 1, 1878

Employee Social Security Number

_ ( Appointment
S714 8-L135 ; ; ‘elySalary Adjustment
Employing Office or Committee/Subcommittee Oo _G Title Change
_ O) Termination (Ai close of business on effective date}
ASSassinaticnas C.. Leave without pay (Beginning with effective date above and ending
close of business

“Specity Date

(If type of action is an.Appointment, Salary Adjustment, or Title Change, complete appropriate information below.) -

| Position Title ; | Gross Annual Salary*

Deput cy Chief Counsel |

-. * If emoloyee is a civil service annuitant {includes U.S.-House of Representatives), the gross “annual salary shown should. include the annuity received by the employee

plus the salary received from the employing office. °

(If Committee Employee, complete appropriate item below.) :

1.0 7 Stenelng Committee: Staff—L] Clerical or LF) Professional: -~

3. O 1 Joint Committee.

. (If Employee of an Officer of the House, complete item below.)

~ Position Number. _ If applicable, Level________ Step

1 certify. ‘that this authorization is not in violation of 5- U.S.C. 311 0(b),. prohibiting the employment of

relatives.
Dote Beroh 14 0 /1928
(iF appropriate, signature of Subcommittee Chairman or Ranking Minority Member) a eines or print nome of Authorizing Official) -
. a
wane ------- ==, o © Chaizmen ene ee
: (Type or print name and title of above official) - a {Title - If Member, District and State)

All appointments. and salary adjustments for‘employees under the House Classification Act:and. for:Committee em-

_ ployees, except those of the Committee ‘on Appropriations, the Committee on the Budget, and the Joint Committees, must

be approved by the Committee on House Administration.

APPROVED:

Chairman, Committee on House Administration

Office of Finance use only:

Office Code

-Copy for: Initiating Office.or Committee -

| W 88326 es —
it 1d:32239460 Page 4 : 7 co ;

_. Type ofAction ~*+/|

oe Ba En Screen
Ae eb tnt ite ceded Le Rite we Teel ta

atts

Employee Name (First-Middle-Last) : Effective Date

ee a

PAYROLL AUTHORIZATION FO":

om

(Please Use. Typewriter U.S. HOUSE OF REPRESENTATIVES~—<: - (Any erasures, corrections, or changes

Dp: . ° : on this form must be initialed by the
or’ Ballpoint Pen) Washington, D.C. 20515 authorizing official.)

To the Clerk of the House of Representatives:

- [hereby authorize the following payroll action:

7 Employee Social Security Number Type of Action

374-40-1135

Employing Office or Committee/Subcommittee

February 12 1978

(C Appointment
O"Salary Adjustment
_O Title Change

O Termination (At close of business on effective date) -

CO Leave without pay (Beginning with effective date above and ending

Assassinations

close of business : )

Specify Date

(If type of action is an Appointment, Salary Adjustment, or Title Change, complete appropriate information below.)

Position Title Gross Annual Salary *

Deputy Chief Counsel $42,500.00

* if employee is a civil service annuitant (includes U.S. House of Representatives), the gross annual salary shown should include the annuity received by the employee
plus the salary received from the employing office. .

(If Committee Employee, complete appropriate item below.)

1. O Standing Committee: Staff—O) Clerical or 1) Professional.
879 S5&h

= . . : . .
2. E’Special (Investigative staff of Standing Committee) or Select Committee: Authority—H.. Res._~ _=_of __-__ Congress. '
3. O Joint Committee. .

(If Employee of an Officer of the House, complete item below.)

Position Number -If applicable, Level_

_|-certify. that. this authorization -is not in violation of 5 -U.S.C. 3110(b), prohibiting the employment of
relatives. , ey

February 16, 78 ae

o-oo ee et ee ee ee ~a-ee wo re nr a ee + ee

a (Signature of Authorizing Official)

cee Louls Stokes

(If appropriate, signature of Subcommittee Chairman or Ranking Minority Member) oT : : : (Type or print name of Authorizing Official}
—_ ~Chaivman

(Type or print name and title of above official) : (Title-1f Member, District and State)

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All appointments and salary adjustments for employees under the House Classification Act. and for. Committee em-
_ployees, except.those of the Committee. on Appropriations, the Committee on the Budget, and the Joint Committees, must
be approved by the Committee on House Administration. -

APPROVED:

Choirman, Committee on House Administration

Office of Finance use only:

Office Code

rome recente , Benefits _._______-..____-_____

Payrofl____._____

a ; (Revised: August 1, 1977)
Copy for ‘Initiating Office. or Committee ~ 3

wae ee ee ee a ares wae - —_ - - = een — -

NW 88326 POT ee
| Docld:32239460 Page 5 . a,

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MEMORANODUM

TO: Thomas Howarth, Budget Officer
Elizabeth Berning, Chief Clerk

FROM: I. Charles Mathews, Special counsel ULC (YUL

DATE: February 13, 1978

RE: Mr. Gene Johnson

This is to inform you that effective February 10,
1978, Mr. Gene Johnson has been promoted from Assistant
| Deputy Chief Counsel/King Investigation to Deputy Chief
Counsel. His starting salary will be $42,500.00 effective

February 1, 1978.

If you have any questions, please contact me at

your convenience.

ICM: j

|) NW 88326 poe,
H Dochd:32239460 Page 6 : ‘

PAYROLL ‘AUTHORIZATION © FORM - ee

U. s. HOUSE ¢ OF: REPRESENTATIVES: * (Any: “erasures, st bei od by te ae
oo. On: this..form. mus @-in la e yt e
* Washington, D: C. 20515 Por ‘ authorizing official.) .

iy (Please Use Typewriter..." -
ons “or Ballpoint: Pény

- To-the Clerk of the House of Representatives: oo °esrac Bie Bees!

‘hereby authorize the following payroll action: #2" terre Rie Se

; _- Employee't Name: (First- -Middle- Last)
Gene R. Johnson
ates Employee's Social al Security Number: ener fa re - wR oP aE te of-Action a :
37140-1135 ne [Appointment -
— enuf oie a Conimittee~ iw os me | AR Salary: Adjustment: 1:

aan pore a ete + TE] Termination (Atclose of business.on effective date)

3.) Joint‘ Gommittee, es <i es Soe ee a

-.° (If Employee-of-an Officer of the House,complete. item below} vidas Bate heigl nig rhievn wean Laie ita chee anes

Position Number_-___ 27 _-._--___|f applicable, Level_

“Gignature of Authorizing Official)

bouts ‘Stokes

ieee ok 2st ead tA Bite Pia

:
oe a ae eee ee ee ee ; ;
AlL.appointments.and: salary. adjustments for.employees ‘under: the House. Classification’: Act-and-for Committee: em-*<." A
-ployees': except: those ‘of.:the -Commiittee ‘on: ‘Appropriations; the GCommittée ‘on: ‘the: Budget, ‘and: ther Joint Committees,” must 3 \
be approved. by the Committee on House: Administration: - : Pe Fe ae . : a _ : i

_APPROVED:.

Chairman, Committes on House ‘Administration

: | Office of Finance use only:
Office Code

oa eb a ee Tag giete oy?
sited ais oa ee tad aye a od a

_.. Copy for. Initiating Office or Committee.

| NW 88326 a, oe
| Docld:32239460 Page 7 ' a .

‘PAYROLL AUTHORIZATION FORM --

~.. (Please Use Typewriter’. ~ » ULS.. HOUSE OF REPRESENTATIVES “(Any erasures, corrections, or changes ~~ -

a : . ae on this form must be initialed by the
_ or Ballpoint Pen) - Sn Washington, D.C. 20515 © authorizing official.)

ied EB ete aed aaah

mea Calan Mads ao theaa boi faNoks tad edad telson eee hah tas Sy

To the Clerk of the House of Representatives:

| hereby authorize the following payroll action:

Employee Name (First-Middle-Last) Mee a 7 wpe oo oe _ Effective Date

Gene R. Johnson | .
> Employee Social Security Number © efor Yt ‘Type of’Action.
37140-1135

(J Appointment

Employing Office or Committee =| {#9 Solory Adjustment, | of

Assassinations LJ Termination (At close of business on effective date)

(If type of action is an Appointment or Salary Adjustment, complete the following information.) .

Tete a ine Ee ea ae Le

Position Title 7 ) ) - | ; _ : _ Gross Annual Salary —

er

Assistant Beputy Chief Counsel 34,000

(If Committee Employee, complete appropriate item below.)

AEE eh Lett Ore bs ele

LEY Standing Committee: Staff—[_] Clerical or [_] Professional.

2. 7 Special or Select Committee? Authority—H. Res. 465__--_ of S8th Congress. ee 4 \

3, [_] Joint Committee.

SO PaD ES TORT

- (If Employee of an Officer.of the House, complete. ite below.) -’

Position Number___- If applicable, Level_.:

wn
pe
: @
. xe)
: !
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|
1
!
!
'
7
ita la aha tld aa ake

: |..certify that. this authorization .is> “not -in. violation: of 5 U.S.C: 3110(b),- prohibiting: the. ‘employment : of: :- +":
relatives. a . ,

_ Date _ Aueust 2 __., 194 F.

te ee CI Oe ee p bf See. pa

Tdi eared tetas Me bate ta ae RS a nettle ha la te aa tke

All appointments:and: salary. adjustments ‘for employees” under-the House Classification’ Act-and-for:Comimittee.ém- °° ~
: «-ployees, except: those: of the: Committee-on Appropriations,;the Committee: onthe Budget, and the Jéint. Comimittees, must
~ be approved.by. the Committee on:House Administration: cE Shes “ Yet

_ APPROVED:

we gs coe ate a Ss oo : Chairman, Committee on House Administration * -

Office of Finance use only: =... 20,

Office Code

‘adalah tbs ca LE ia fine ak dates AE a late

: Oe [wo
' : : / :

| Docld:32239460 Page 8

PAYROLL AUTHORIZATION. FORM

"(Please Use Typewriter © U. S. HOUSE: OF REPRESENTATIVES. “-. (Any-erasures, corrections, or changes ©

eof Los - .on this form must ‘be initialed by the
or Ballpoint Pen) ~ Washington, D.C. 20515 - * authorizing official.)

To.the Clerk of the House of Representatives:

| hereby authorize the following: payroll action:

_Employee Name (First-Middle- Last) os a i mae oo a Effective Date ~ _
gene R. dohnson 6/11/77

: Employee Social. Security Number oe

371 40 1135

Type of Action

{_] Appointment
Employing Office or Committee*) Salary Adjustment

Assassinations ; . (] Termination (At close of business on effective date) -

(If type of-action is an Appointment or Salary Adjustment, complete the following information.) ~

Position Title | a | | 7 Gross Annual Salary ee

$32,000

-(If Committee Employee; complete appropriate item below.) ~

Lo Standing Committee: Staff—(] Clerical or [] Professional... ~~
2. [4 (5 Special or Select Committee: Authority —H, Res.. a6 of B8tR Congress... 5

3. [| Joint Committee.

~ (If Employee of an Officer of the House,;complete item below.) ©

“Position Number. a __.If applicable, Level _

d. certify that -this authorization is not-in. violation: of: 5. USC. STO) Prohibiting: the. ‘employment of.
relatives. |

I rf. ae ; (Signature of Authorizing Official)
“ Louis Stekes
Type or print name of Authorizing Oficial), ~—=SOSCtCS:*C<“<S*~S
Pan Chairman
ees TT Tiie=Ht Member, Distt and Store) TS _ oT ~

All appointments ‘and.salary adjustments for-employee's under :the’ House: Classification Act! and for*Committee em: -"
Ae ployees, except. those: of the Committee: on- Appropridtions;ithe Committee:on: the Budget and. the: Joint Committees; “must:

be approved by: the Committee .on House Administration:

_ APPROVED:

Office of Finance use‘only: -«.. . .

_ Office Code.

_« Copy for Initiating Office or. Committee OE tage

TT - na tr RR RR ae a em ae ee oo ~ > we -— =
W 88326 : Te
ii:37259460 Page 9 : ;


PAYROLL AUTHORIZATION FORM
(Please Use Typewriter”. ou. S: HOUSE OF REPRESENTATIVES. — - (Any erasures, corrections, or changes -

or Ballpoint Pen). = - Washington, D.C. 20515. . on this form must be initialed by the.

authorizing official.)

To the Clerk of the House of Representatives: . |

| hereby authorize the following payroll action:

. — Employee Name (First-Middle-Last) = = oo _ Effective Date
Gene R. Johanson 4/1/77

_ Employee Social Security Number Type of Action » }

L] Appointment

371 40 1138

"Employing Office or Committee Salary Adjustment a
Assassinations ([] Termination (At close of business on effective date)

(If type of action is an Appointment or Salary Adjustment, complete the following information.)
. SO Position Title

(If Committee Employee, complete appropriate item below.)

1. [J Standing Committee: Staff—[_] Clerical or [_] Professional.

2.: [Special or Select Committee: Authority—H. Res. 465 of 95th Congress. -

3. O Joint Committee.

(If. Employee of an Officer of the House, complete item-below.)

Position Number If applicable, Level Step...

|. certify that this authorization is not -in’ violation. of. 5S. U.S.C. 3110(b), prohibiting the employment of»
relatives.

Wo ee ee ee Le

(Signature of Authorizing Oficial

Pe ” touts Stokes

a (Type or print name of Authorizing Official)
we Chairman
. we (Title — \f Member, District and State)

All appointments and salary. adjustments for.éemployee’s under the’ House Classification Act and for-Committee: @m-" >> ">

ployees, except.those of the Committee-on Appropriations, the: Committee: on- the Budget, and the-Joint Committees; must
be approved by the Committee on. House Administration. - so

APPROVED:

Chairman, Committee on House Administration -

Office of Finance use only: .

Office Code

—- oo ee

Ii:37235460 Page 10

* . S , ave a7 . . . va .
we Teh ees ito hg wt tp tenet he to aes

7 Gross Annual Salary | . .

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Featiceest lee teats ii a tved aca aat etl

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“PAYROLL AUTHORIZATION. FORM ae a
"Please Use Typewriter. - US: HOUSE OF REPRESENTATIVES —~ © (Any erasures; corrections, ar changes: =

; , “+... » on this form must be. initialed by the
or Ballpoint Pen) ~ . Washington, D.C. 20515 + authorizing official.)

To the Clerk of the House of Representatives: et

| hereby authorize the following payroll. action:

_Employee: Name (First-Middle- -Last)- | ae foe = “ 2 ; - “Effective Date =

Gene B. Johnson

Se
on, Alu tela tht pa Bak, Be oat baw
Zia bu teletautnt ee th, PSs Mobiy Ms

‘

~ Employee Social Security Number =. StCSsCS YC 7 a of Action: - pee
371-490-3135

(] Appointment

Employing Office or Committee 7 oo! CiSclary Adjustment

Select Committee on Assassinations | [] Termination (At close of business on effective date}

4

SER ORR WIN She NOR NOCI Pan RSE

(If type of action is an Appointment ‘or Salary Adjustment,complete the following information.) °

Position Title «Sos Annual Salary Sid):

pata

(If Committee Employee, complete appropriate item below.)

1. L_] Standing Committee: Staff-[ J Clerical or [_] Professional.

2. ] Special or Select Committee: Authority—H. Res..__ 4) ~35.. Congress.

ee elee Ribs Maee ao ESSE ke gh ge ce cpt Elser, Etiege’ Lede yebiea See toe
fat sb TL ein eA ciate dead add Sa alas aes es le aaa

3. [_] Joint Committee.

(If Employee of an:Officer of the: House,’complete item below.) = 2 >

Position Number... HF applicable, Level _

Step oo se.

A. certify that. -this..authorization is not in violation «of .5. U.S:C: °3110(b);. prohibiting the employmént:of- 2.

Semel. “heh cnet ttt Cla Ue ai oy i
leit AR! tele adh shila ald |

relatives.
.
Date. 2-28-77 19__ Ben
__ (Signature of Authorizing Official) -
Henry B. Gonzalez -
; . * (Type or print name of Authorizing Official) - a
Chairman 4
(Title - If Member, District and State) 4
et a i ee eee whose eee ee ee ee ne 28

ag

‘All appointments: and salary adjustments ‘for employee's: under. the-House-Glassification-Actand-for Committee: em: i.
-ployees: except..those. of the: Committee“on ‘Appropriations, the: Committee: onthe: Budget,” ‘and the Joint Committees; rust
-be approved by the Committee: on. HousesAdministration. : Se get od ’ os _

.  APEROVED:

Chairman, Committee 0 on House Administration .

uaa liess antec edieth Bien ada:

Office of Finance use only:...

Office Code

-
.
4
;

NW 88326 | FO a
) Docld:32239460 Page 11 i vo ;

PAYROLL AUTHORIZATION FORM.

oe J

(Please Use pewter ‘o JU: S. ‘HOUSE OF- REPRESENTATIVES oO (Any erasures, corrections: or changes.

” n this form must be initialed by the a
. or ‘Ballpoint. Pen) ° _ __” Washington, D.C. 20515 authorizing official.)

. \ . :
. To the Clerk of.the House of Representatives: © =. > | | . .

oo

|
-
|
)
;
}
|

| hereby authorize the following payroll action: -

we

oT. : Employee Name (First-Middle-Last) _ - Effective Date. “] Oy

Care ?

|
aoe TRL eR. fe , ‘ : £ ove | |
Employee Social Security Number - _ Type of Action i
_ Coo ; |
37} ag ESS - (| Appointment |
; Employing: Office or Committee | 2 Solary Adjustment ~ | |
Select Comittee on Assnssiva ion ns [] Termination (At close of business on éffective date) |
(If type of action is an Appointment or Salary. Adjustment, complete the following information.) . |
XQ ¥ . . a 1
Position Title . |
; ; - : i
(If Committee Employee, complete appropriate item below.) « - \ |
1. [_] Standing Committee: Staff—[_] Clerical or [_] Professional. oe ; | \
= . . .f qe Sioets | \
2.'P | Special or Select Committee: Authority —H. Res.___18_of SEP Congress. m4 ~ ~ | \
7 . =
| 3. ['] Joint Committee. a _ |
| (If Employee of an Officer of the House, complete item below.) | why
| Position Number_____- If applicable, Level Step__ |
| a i
1 certify that. this authorization is not in violation: of 5 U.S.C., 3110(b), prohibiting .the employment of |
relatives. . ; , _ 5 |
Date... ; 194? _ fo ae
i : . . : . Signature of Authorizing Official) <
| 7 . . ; Nepyy &. Soczedaz |
: . on print name of Authorizing Official) == SSSSS™S
, ~ Title= if Member, District ond State), on - {
ee 7 i,
in All appointments and salary adjustments for employees under ‘the House Classification. Act and for Committee-em-.  — a
ployees, except- those of the Committee on: Appropriations, the Committee on the Budget, and the Joint Committees, must \ |
be approved by the Committee on House Administration. ; ; ~ i
a | APPROVED!» re
a : Soe . oo Chairman, Committee on House Administration
Office of Finance use only:
: Office Code... %
. om ~ = :
| |. Monthly Annuity $__- 00 _
CoS : Copy for Initiating Office or Committee -— ; Ds


PAYROLL AUTHORIZATION FORM.

- U.S.-HOUSE OF REPRESENTATIVES »__
Washington; ‘D:C. 20515 ©

oft
a © (Please Use Typewriter

“or Ballpoint Pen) +
4 , .

To the Clerk of the House of Representatives:

| hereby authorize the following payroll action:

Employee Name (First-Middle-Last)

\

_ (Any erasures, corrections, or changes ;
on this form must be initialed by the:

“~~ authorizing official.) «

Gene RK. yohnson

6

~ (If. Committee Employee, complete appropriate item below.)

a
ittec on Assass4

Effective Date

|

Employee Social Security Number 7 _

Type of Action

[2] Appointment

o Salary Adjustment

HaLiGns {_] Termination (At close of business on effective date)

J

- Gross Annual Salary ~
332,005

‘ 1. [-] Standing Committee: Staff—[_] Clerical or [] Professional.

3, [| Joint Committee.

Position Number

relatives.

W 88326
ochd:32239460 Page 13

_ 2. KJ Special or Select Committee: Authority—H. Res TO _of 24th Congress.

(If Employee of an Officer of the House, complete item below.) |

be approved ‘by the Committee on House
| Office of Finance use only: ,
Office Code. ween eee
Monthly: Annuity $e 00

Copy | for Initiating Office

If applicable, Level

4

| certify: that this authorization is: notin violation of 5 U.S:C. 3110(b), prohibiting the employment of

oo eee (Signature of Authorizing Official) =—=SSSsC*C SCS
- Thowas/N. Cowriag, Crairman
(Type or print name of Authorizing Official}
Select Committees on Assassinations
- (Title—If Member, District and State)

- All_appointments and salary adjustments for employees: under the House. Classification Act and for Committee_em-~
sloyees, except those of the Committee on Appropriations, the Committee on the Budget, and the Joint -Committees; must*~

Administration. oe . . .
_ APPROVED: _
x ‘ Chairman, Committee on House Administration
° ¢

7

or Commiittee

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1d:32239460 Page 14 : oo poe

MEMORANDUM

er ~All Staff Employees
FROM: ‘Budget Officer
DATE: Sanuary 3, ‘1977.

ORE: © Payroll certification

Starting with the January, 1977 payroll, the certification. —

--to the House Finance Office requires, among other things, the. .
_. ‘yelationship, if any, of each staff employee to any current .
‘Member of Congress (those taking office January 3, 1977).

~The following are the ‘relationships to. be included in
“the certification: . _

mother =. oe meee Sister-in-law
son . husband = stepfather
daughter ties fe ~ stepmother.”
“", . brother. a “father-in-law | —.:.). stepbrother ©: 5.
sister oe -mother-inlaw- === —~—«s—s~S—«CS:~«s thepsister ~
uncle oo gon-in-law + half-brother

punt — daughter-in-law  . .. -—«shalf-sister

first cousin ~ oe

father coon. oe | nephew a a brother-in Jaw |
|
|
|

All staff ‘employees are requested to complete ‘this
form and return it to the Budget officer.

oRereret,
Richard A. ‘Sprague

Tam not related xX oe ee

I am related by the following relationship

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Date oe oe . oy

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